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Genetic Polymorphisms in Monoamine Systems and Outcome of Cognitive Behavior Therapy for Social Anxiety Disorder

Andersson, Evelyn (author)
Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
Rück, Christian (author)
Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
Lavebratt, Catharina (author)
Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
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Hedman, Erik (author)
Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
Schalling, Martin (author)
Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
Lindefors, Nils (author)
Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden
Eriksson, Elias, 1956 (author)
Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för farmakologi,Institute of Neuroscience and Physiology, Department of Pharmacology,Sahlgrenska Academy, University of Gothenburg, Sweden
Carlbring, Per (author)
Stockholms universitet,Psykologiska institutionen,Stockholm University, Sweden
Andersson, Gerhard, 1966- (author)
Linköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Karolinska Institutet, Stockholm, Sweden,Internet, health and clinical psychology research group
Furmark, Tomas (author)
Uppsala universitet,Institutionen för psykologi,Uppsala University, Sweden
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 (creator_code:org_t)
2013-11-15
2013
English.
In: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 8:11
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • ObjectiveThe role of genetics for predicting the response to cognitive behavior therapy (CBT) for social anxiety disorder (SAD) has only been studied in one previous investigation. The serotonin transporter (5-HTTLPR), the catechol-o-methyltransferase (COMT) val158met, and the tryptophan hydroxylase-2 (TPH2) G-703Tpolymorphisms are implicated in the regulation of amygdala reactivity and fear extinction and therefore might be of relevance for CBT outcome. The aim of the present study was to investigate if these three gene variants predicted response to CBT in a large sample of SAD patients.MethodParticipants were recruited from two separate randomized controlled CBT trials (trial 1: n = 112, trial 2: n = 202). Genotyping were performed on DNA extracted from blood or saliva samples. Effects were analyzed at follow-up (6 or 12 months after treatment) for both groups and for each group separately at post-treatment. The main outcome measure was the Liebowitz Social Anxiety Scale Self-Report.ResultsAt long-term follow-up, there was no effect of any genotype, or gene × gene interactions, on treatment response. In the subsamples, there was time by genotype interaction effects indicating an influence of the TPH2 G-703T-polymorphism on CBT short-term response, however the direction of the effect was not consistent across trials.ConclusionsNone of the three gene variants, 5-HTTLPR, COMTval158met and TPH2 G-703T, was associated with long-term response to CBT for SAD.

Subject headings

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Medicinsk genetik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Medical Genetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Farmakologi och toxikologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Pharmacology and Toxicology (hsv//eng)
SAMHÄLLSVETENSKAP  -- Psykologi -- Tillämpad psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology -- Applied Psychology (hsv//eng)

Keyword

cbt
social anxiety disorder
monoamine systems
genetics
trials
Psychology
psykologi
genetic polymorhisms cognitive behavior therapy anxiety disorder

Publication and Content Type

ref (subject category)
art (subject category)

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